03-104378 City of Federal Way
Community Development Services Electrical Permit #:03 - 104378 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050
Project Name: L'ORIGAN MANOR LOT 7
Project Address: 35754 9THV,t Ve Parcel Number:
Project Description: Low voltage thermostat
Owner Applicant Contractor
CARY LANG CONSTRUCTION CO ALL WAYS AIR CONTROL INC ALL WAYS AIR CONTROL INC
34815 PACIFIC HWY S 1515 S CENTER ST 1515 S CENTER ST
FEDERAL WAY WA 98003 TACOMA WA 98409 TACOMA WA 98409
(253)383-7718
Electrical Fixtures
Description jQuantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES March 21,2004.
Permit issued on September 23,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way See •
See Application Application
Owner or agent: Date:
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PERMIT.APPLICATION
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**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
inPROPERTY INFORMATION
SITE ADDRESS: ?5 7 5(/ 7 H A.A Vk s wI ASSESSOR'S TAX/PARCEL!k: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): IX BUILDING a PLUMBING ❑MECHANICAL ❑ DEMOLITION
a ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Low Voltage Thermostat
PROJECT NAME: Lot # 7 to R344. fp 4A O !2
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE: 1
Cary Lang Construction ( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
ALL-WAYS AIR CONTROL INC. (253 ) 383 - 7718
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1515 Center St. Tacoma, WA. 98409 (253 ) 383 " 7736
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
19 - 92102806 00 BL- _ _ ( ) -
CONTRACTOR'S REGISTRATION NUMBER: T —. EXPIRATION DATE:
(copy of card required) ALLWAACO 0 4 J Q / /
APPLICANT: NAME: DAYTIME PHONE:
Bernie Chapman ALL-WAYS AIR CONTROL INC. ( ) -
MAfUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Same ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT a TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER a APPLICANT ❑CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC) i
r**NEW kESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S)
LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises t i perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,indading the undersigned,and Flied against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: Bernadette Chapman Corp. Sec. DATE: —/ C 03
❑ PROPERTY OWNER o APPLICANT o CONTRACTOR
FOR OFFICE USE ONLY 1
o NEW o ADDITION o At Ei ATION... o EPAIR rs TENS IMPROVEMENT
CENSUS,COD •E I=1OT SIZE
ZONING DESIGNATION. • BUILDINt SHELL ONLY+ p YES 0 NO
COMP PLAN DESIGNATION I IC'PLAN' YES I NO
SECTION HIP_'. .:..-RAN¢E NEW Itp1RESiS1.RE 17flEt?T t YE5 If10
'[01i�MM15 �
PLATTED• •.YES Nf# CHANGE OF USE? ..::..:....-t�:YES..
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDEWAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffederalway.comRAL
• - ■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family -Service or feeder only $50.00 -#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300112-$75.00;Each add'n 500112-$24.00) -Service and feeder $81'� First 2500112-$43.50;Eacfire h burglar 2500 ft-$11.50
Square Feet:
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:(Inspected with service) -#of service or feeders •Per WAC 296 46-910(Sxbxi&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service( -#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
Swimming pool,hot tub,spa $75.00
-Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
(Includes three units or more) $ 81.00
Service Feeder Amps Service or Add'n _0 to 200
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 601-1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 -over 1000 317.00
_601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY -601-800 284.50 120.50
(When inspected separately from the services.) __801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Mufti-Family/CommerciaUIndustrial
0 to 200 amp $ 68.50 -Over 600 volts surcharge 63.50 -0-100 $ 50.00
-
_201-600 amp
101.00 Mast or meta repair 68.50 _101-200 63.50
201-400 75.00
_over 600amp 151.50 - -400 101.00
Mast or meter repair 37.50 _401 109.00
#of circuits _over 600
(1-4 circuits-$50.00;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$63.50.Add'l plan review for other submissions is$75.00/hr.
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Total Column(D)
43.00
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)=(13)
II DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee: (18) (20) (72)
SBCC Surcharge: (19) (21) (23)
1
TotaI (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-January 18,2002